| Breast lesion removal (open) (19120) |
$7,467.20 |
$11,488 |
2.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,803.45 |
$4,313 |
3.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,803.45 |
$4,313 |
3.3× |
| Diagnostic colonoscopy (45378) |
$2,726.10 |
$4,194 |
3.1× |
| Colonoscopy with biopsy (45380) |
$3,525.60 |
$5,424 |
3.1× |
| Colonoscopy with lesion removal (45385) |
$3,525.60 |
$5,424 |
3.1× |
| Laparoscopic gallbladder removal (47562) |
$17,444.70 |
$26,838 |
3.1× |
| Inguinal hernia repair (age 5+) (49505) |
$10,552.10 |
$16,234 |
3.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,992.95 |
$6,143 |
4.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,992.95 |
$6,143 |
4.8× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,640.60 |
$2,524 |
3.2× |
| CT head/brain without contrast (70450) |
$477.10 |
$734 |
4.8× |
| MRI brain without contrast (70551) |
$1,084.20 |
$1,668 |
4.8× |
| MRI brain with contrast (70552) |
$1,601.60 |
$2,464 |
4.9× |
| MRI brain without and with contrast (70553) |
$1,601.60 |
$2,464 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$477.10 |
$734 |
4.8× |
| MRI lumbar spine without contrast (72148) |
$1,084.20 |
$1,668 |
4.8× |
| CT pelvis with contrast (72193) |
$798.20 |
$1,228 |
4.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,084.20 |
$1,668 |
4.8× |
| CT abdomen and pelvis with contrast (74177) |
$1,601.60 |
$2,464 |
4.9× |
| Ultrasound, abdomen complete (76700) |
$477.10 |
$734 |
4.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$477.10 |
$734 |
4.8× |
| Ultrasound, transvaginal (76830) |
$477.10 |
$734 |
4.8× |
| Mammography, one breast (diagnostic) (77065) |
$365.95 |
$563 |
4.2× |
| Mammography, both breasts (diagnostic) (77066) |
$458.90 |
$706 |
4.2× |
| Mammography, screening (bilateral) (77067) |
$395.85 |
$609 |
4.3× |
| Basic metabolic panel (80048) |
$37.70 |
$58 |
4.5× |
| Comprehensive metabolic panel (80053) |
$47.45 |
$73 |
4.5× |
| Obstetric panel (80055) |
$214.50 |
$330 |
4.5× |
| Lipid panel (80061) |
$59.80 |
$92 |
4.5× |
| Renal function panel (80069) |
$39 |
$60 |
4.5× |
| Hepatic function panel (80076) |
$36.40 |
$56 |
4.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$18.20 |
$28 |
4.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$15.60 |
$24 |
4.5× |
| PSA, total (84153) |
$82.55 |
$127 |
4.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$75.40 |
$116 |
4.5× |
| CBC with automated differential (85025) |
$35.10 |
$54 |
4.5× |
| CBC, automated (85027) |
$29.25 |
$45 |
4.5× |
| Prothrombin time (PT) (85610) |
$19.50 |
$30 |
4.5× |
| Partial thromboplastin time (PTT) (85730) |
$26.65 |
$41 |
4.4× |
| Psychotherapy, 30 minutes (90832) |
$313.30 |
$482 |
1.9× |
| Psychotherapy, 45 minutes (90834) |
$313.30 |
$482 |
1.9× |
| Psychotherapy, 60 minutes (90837) |
$313.30 |
$482 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$313.30 |
$482 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$313.30 |
$482 |
1.9× |
Group psychotherapy (90853)
range across 9 matching MRF lines |
$180.70–$542.10 |
$278–$834 |
varies |
| Electrocardiogram (ECG), complete (93000) |
$269.75 |
$415 |
4.8× |
| Left heart catheterization (93452) |
$12,021.10 |
$18,494 |
3.9× |
| Sleep study (attended polysomnography) (95810) |
$4,563 |
$7,020 |
5.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$167.70 |
$258 |
5.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$90.35 |
$139 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$113.10 |
$174 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$152.75 |
$235 |
1.2× |
| Preventive visit, new patient (age 18–39) (99385) |
$119.60 |
$184 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$165.10 |
$254 |
— |